Jessica Altman, FNP
Individual provider Active NPI Family Nurse Practitioner · Clarksville, TN
NPI 1245569722 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1245569722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 32725 (TN)
- Practice address
- 1334 Fergie CT
Clarksville, TN 37042-1565 - Phone
- (931) 237-6461
- NPI assigned
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SHC Medical Partners of Tennessee, LLC
Abode Care Partners LTC VB LLC
Practice addresses (Care Compare)
198 Old Farmers Rd
Clarksville, TN 37043-4032
Phone (931) 358-2900
919 Medical Park Dr
Mountain City, TN 37683-1042
Phone (423) 727-7800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240423002536 | TN | Practitioner - Nurse Practitioner | 0042681405 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145461 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abode Care Partners LTC VB, LLC | Current |
Accepting new patients | |
| SHC Medical Partners of Tennessee, LLC | Current |
Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current |
Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current |
Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current |
Accepting new patients |
Locations
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
198 Old Farmers Rd
Clarksville, TN 37043
Phone (931) 358-2900
919 Medical Park Dr
Mountain City, TN 37683
Phone (423) 727-7800
415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 145461 | TN | |
| Family Nurse Practitioner | 363LF0000X | 32725 | TN | Yes |
Addresses
Primary practice location
1334 Fergie CT
Clarksville, TN 37042-1565
Mailing address
1334 Fergie CT
Clarksville, TN 37042-1565
Phone (931) 237-6461
Other providers in Clarksville, TN
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- Alpha Dental, PLLC
- Michaele Alter
- Edhna Annae Alvarado
- Jennifer Helton Alvarez
- Gracie Amacher
- Amanda Elliott
- Alisia Carmen Amaya-Arias
All providers in Clarksville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.